Individual
JAQUAY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4389 W MAYSFIELD DR STE 100, AUGUSTA, GA 30909-9648
(706) 496-2856
(762) 333-2872
Mailing address
3006 KILKNOCKIE DR, GROVETOWN, GA 30813-8146
(706) 631-1386
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW006842
GA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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